Autor: |
Maciej Walędziak, Anna Lasek, Michał Wysocki, Michael Su, Maciej Bobowicz, Piotr Myśliwiec, Kamil Astapczyk, Mateusz Burdzel, Karolina Chruściel, Rafał Cygan, Wojciech Czubek, Natalia Dowgiałło-Wnukiewicz, Jakub Droś, Paula Franczak, Wacław Hołówko, Artur Kacprzyk, Wojciech Konrad Karcz, Jakub Kenig, Paweł Konrad, Arkadiusz Kopiejć, Adam Kot, Karolina Krakowska, Maciej Kukla, Agnieszka Leszko, Leszek Łozowski, Piotr Major, Wojciech Makarewicz, Paulina Malinowska-Torbicz, Maciej Matyja, Maciej Michalik, Adam Niekurzak, Damian Nowiński, Radomir Ostaszewski, Małgorzata Pabis, Małgorzata Polańska-Płachta, Mateusz Rubinkiewicz, Tomasz Stefura, Anna Stępień, Paweł Szabat, Rafał Śmiechowski, Sebastian Tomaszewski, Viktor von Ehrlich-Treuenstätt, Maciej Wasilczuk, Mateusz Wierdak, Anna Wojdyła, Jan Wojciech Wroński, Leszek Zwolakiewicz, Michał Pędziwiatr |
Jazyk: |
angličtina |
Rok vydání: |
2019 |
Předmět: |
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Zdroj: |
Scientific Reports, Vol 9, Iss 1, Pp 1-9 (2019) |
Druh dokumentu: |
article |
ISSN: |
2045-2322 |
DOI: |
10.1038/s41598-019-51172-2 |
Popis: |
Abstract Laparoscopic appendectomy (LA) for treatment of acute appendicitis has gained acceptance with its considerable benefits over open appendectomy. LA, however, can involve some adverse outcomes: morbidity, prolonged length of hospital stay (LOS) and hospital readmission. Identification of predictive factors may help to identify and tailor treatment for patients with higher risk of these adverse events. Our aim was to identify risk factors for serious morbidity, prolonged LOS and hospital readmission after LA. A database compiled information of patients admitted for acute appendicitis from eighteen Polish and German surgical centers. It included factors related to the patient characteristics, peri- and postoperative period. Univariate and multivariate logistic regression models were used to identify risk factors for serious perioperative complications, prolonged LOS, and hospital readmissions in acute appendicitis cases. 4618 laparoscopic appendectomy patients were included. First, although several risk factors for serious perioperative complications (C-D III-V) were found in the univariate analysis, in the multivariate model only the presence of intraoperative adverse events (OR 4.09, 95% CI 1.32–12.65, p = 0.014) and complicated appendicitis (OR 3.63, 95% CI 1.74–7.61, p = 0.001) was statistically significant. Second, prolonged LOS was associated with the presence of complicated appendicitis (OR 2.8, 95% CI: 1.53–5.12, p = 0.001), postoperative morbidity (OR 5.01, 95% CI: 2.33–10.75, p |
Databáze: |
Directory of Open Access Journals |
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